There is noth­ing wrong with the pa­tient-cen­tered med­i­cal-home con­cept. The prob­lem is with the im­ple­men­ta­tion of it. To jus­tify the enor­mous fees as­so­ci­ated with th­ese pro­grams, the de­vel­op­ers of the pro­grams gen­er­ate them with such com­pli­cated fea­tures that the man-hours and at­ten­tion that they re­quire out­shine the prac­ti­cal­ity of the sys­tem.

Doc­tors are against it be­cause it tends to take con­trol of the pa­tient away from them, not to men­tion the enor­mous time and ef­fort it takes to mon­i­tor them. What is needed is a sys­tem that is sim­ple, cost-effective and gives the nec­es­sary core data to the physi­cian to man­age the pa­tient prop­erly.